Objective: To find out the various causes and their frequency in cases of intra uterine foetal death. Methods: This study is conducted at the department of obstretics and gynaecology of M.P., Shah medical college and GG hospital, a tertiary care center during the period of 9 months between 1st April 2017 to 31st December 2017. Patients presenting after 28 completed weeks of pregnancy including patients in labour were included in this study. Patients were subjected to detailed history, examination, investigations and followed up before, during and after labour to find out the causes of iufd. Results: During the time period the total number of deliveries was 5702 and the total number of patients with intra-uterine foetal death was 190 (3.33%). The most common cause of intrauterine foetal death was meconium aspiration 46 (24%)antepartum hemorrhage (APH) in 32 cases (16.84%), followed by congenital anomaly in 11 (5.78%) cases, cord prolapse in 11 (5.78%) cases, PET in 10 (5.2%) cases and no cause found in 80 cases(42.10%). Out of these 80 cases 60 were uninvestigated cases who presented for the first time in labour room. Conclusion: Encouragement of antenatal visits is the most important factor in preventing fetal death as it is the group with highest fetal deaths followed by improving intrapartum monitoring to prevent fetal deaths due to meconium aspiration syndrome by timely interventions. Also identification of high risk cases and their prevention, management can reduce iud in these cases.

Keywords: Intrauterine Death; Stillbirth.